Pituitary gland and pregnancy.

@article{Foyouzi2004PituitaryGA,
  title={Pituitary gland and pregnancy.},
  author={Nastaran Foyouzi and Yr Frisbaek and Errol R. Norwitz},
  journal={Obstetrics and gynecology clinics of North America},
  year={2004},
  volume={31 4},
  pages={
          873-92, xi
        }
}
The hypothalamic-pituitary-adrenal axis is central to mammalian reproductive function, including conception, pregnancy maintenance, parturition, and breastfeeding. Pregnancy is associated with substantial physiologic changes within this endocrine axis to meet the demands of pregnancy, which include support of the fetus (volume support, nutritional and oxygen supply, clearance of fetal waste), protection of the fetus (from starvation, drugs, toxins), preparation of the uterus for labor, and… 
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This review focuses on the diagnostic challenges in pregnant women with adenomas secreting prolactin, growth hormone, or adrenocorticotropic hormone and some evidence-based recommendations for the treatment of these conditions during pregnancy are provided.
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The changes in anatomy and physiology of the pituitary gland during pregnancy are reviewed and Pituitary disorders namely Cushing's disease; acromegaly; prolactinoma; TSH-secreting, gonadotropin-producing, and clinically nonfunctioning adenomas; craniopharyngioma; and Sheehan's syndrome in relation to pregnancy are discussed.
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This chapter reviews the pathophysiology, diagnosis, and therapeutic approaches for women with pituitary diseases, before and during pregnancy, in order to induce fertility and avoid the deleterious effects of hormonal hyper- or hyposecretion.
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  • 2013
TLDR
This review will focus on pituitary disorders that occur exclusively during pregnancy like Sheehan's syndrome and lymphocytic hypophysitis and pre-existing pituitsary disorders (like prolactinoma, Cushing's disease and acromegaly), which poses significant challenge to endocrinologists.
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  • Medicine
    Therapeutic advances in endocrinology and metabolism
  • 2015
TLDR
Dopamine agonists, somatostatin analogs or growth hormone receptor antagonists have been used without any adverse consequences on mother or fetus but it is advisable to stop any medical treatment after confirmation of pregnancy till more data are available on the safety of these drugs.
Anatomy and Physiology of the Breast during Pregnancy and Lactation.
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Post-lactational involution occurs at the cessation of milk production caused by a decline in prolactin, allowing for milk production and eventual let-down to allow for breastfeeding.
Prolactinomas in pregnancy: considerations before conception and during pregnancy
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Dopamine agonist should be discontinued as soon as pregnancy is confirmed in microprolactinomas and intrasellar macroprolactorinomas (MAC), and DA maintenance should be considered in expansive/invasive MAC.
Pituitary Anatomy and Development
Although descriptions of the pituitary gland can be traced to the second century A.D., major advances continue to be made with respect to elucidating the organization and functional anatomy of this
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